National Provider Identifier Database

RURAL HEALTH CLINIC OF WEST TN PLLC
Rural Health


Contact Information

RURAL HEALTH CLINIC OF WEST TN PLLC
1716 PARR AVE
SUITE A
DYERSBURG, TN38024-2073
Phone: 731-285-3300
Fax: 731-285-3370
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for RURAL HEALTH CLINIC OF WEST TN PLLC

NPI Number 1437589876
Legal business name
LBN
RURAL HEALTH CLINIC OF WEST TN PLLC
Authorized official G BINDRA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/21/2013
Last updated 05/28/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 1104864370

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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